Individual
COURTNEY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-2606
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2606
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11002324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103999900
—
FL
Enumeration date
04/08/2019
Last updated
01/26/2022
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